FETAL HAREKETLERDE AZALMA ÖN TANISIYLA DOĞUM ÜNİTESİNE YATIRILAN GEBELERİN DEĞERLENDİRİLMESİ

Öz

ÖZET
Amaç: Antenatal  takipleri  sırasında  veya  hastanemiz  acil  polikliniğine bebek hareketlerinde azalma şikayeti ile gelip, fetal hareketlerde azalma  ön tanısı ile Doğum Ünitesine yatırılan gebel- erin perinatal ve obstetrik sonuçlarının incelenmesi amaçlanmıştır.
Gereç ve yöntemler: Mayıs 2011-Mayıs 2012 tarihleri arsında Hastanemiz Doğum Ünitesi’ne fetal hareketlerde azalma ön tanısıyla yatırılan 36.hafta ve üzeri 396 gebe retrospektif olarak incelendi. Yüksek riskli gebeler çalışma dışı bırakıldı. Hastaların yaşı, gravida,  paritesi, vücut kütle indeksi, tam kan sayımı, vital bulguları ile doğum şekli ve perinatal sonuçlar kaydedildi.
Bulgular: Bir yıl içinde Doğum Ünitesi’ne yatan 14650 Hastanın 396 ‘nın (%2,70) fetal hareketlerde azalma ön tanısıyla yatırıldığı tespit edildi. Doğum ünitesine yatıp değerlendirilen 396 hastanın
143’ünün (%33,11) taburcu edildiği saptandı. Tüm yatan hasta grubunda 13447 doğum oldu. Prim- er sezaryen sayısı 2669 (%19,98) iken fetal hareketlerde azalma tanısıyla yatan grupta doğurtulan
233 gebede primer sezaryen oranı  %33,90 olarak tespit edildi.
Sonuç: Fetal hareketlerde azalma artmış sezaryen oranlarına neden olabilir.

Anahtar kelimeler: Fetal hareket; Fetal ölüm; Gebelik

ABSTRACT
Objective: The purpose of this study was to review the perinatal and obstetric outcome of pregnant women who had complaints of reduction in the fetal movements during their antenatal follow-up examinations or applied to the emergency service with this complaint and were admitted to the delivery unit with reduced fetal movement prediagnosis.
Materials and Methods: The records of 396 pregnancies (36 weeks and over), which were admitted to our hospitals delivery unit during May 2011-May 2012 period with reduced fetal movement prediagnosis, were reviewed retrospectively. High risk pregnancies were excluded from the study. Patient’s age, gravidas, parities, body mass index, complete blood count, vital functions, mode of delivery and perinatal results were recorded
Results: It was determined that 396 patients (2.70%) out of 14,650 patients admitted to the
Delivery Unit were admitted due to reduced fetal movement prediagnosis.
Of these 396 patients, 142 (33.11%) were discharged after examinations. There were 13,447 deliveries for the total admitted patient group. While the number of primary caesarean sections were 2,669 (19.98%) for this group, the primary caesarean frequency for the 233 pregnant women prediagnosed with reduced fetal movement was 33.90%.
Conclusion: Reduced fetal movement may be associated with increased cesarean section rate.

Key words: Fetal movement; Fetal death; Pregnancy

Anahtar Kelimeler

• Fetal hareket,Fetal ölüm; Gebelik

Öz

Objective: The purpose of this study was to review the perinatal and obstetric outcome of pregnant women who had complaints of reduction in the fetal movements during their antenatal follow-up examinations or applied to the emergency service with this complaint and were admitted to the delivery unit with reduced fetal movement prediagnosis. Materials and Methods: The records of 396 pregnancies (36 weeks and over), which were admitted to our hospitals delivery unit during May 2011-May 2012 period with reduced fetal movement prediagnosis, were reviewed retrospectively. High risk pregnancies were excluded from the study. Patient’s age, gravidas, parities, body mass index, complete blood count, vital functions, mode of delivery and perinatal results were recordedResults: It was determined that 396 patients (2.70%) out of 14,650 patients admitted to the Delivery Unit were admitted due to reduced fetal movement prediagnosis.Of these 396 patients, 142 (33.11%) were discharged after examinations. There were 13,447 deliveries for the total admitted patient group. While the number of primary caesarean sections were 2,669 (19.98%) for this group, the primary caesarean frequency for the 233 pregnant women prediagnosed with reduced fetal movement was 33.90%. Conclusion: Reduced fetal movement may be associated with increased cesarean section rate

Anahtar Kelimeler

• Fetal movement,Fetal death; Pregnancy

Kaynakça

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